<%-- 
    Document   : Crear_Historia_Clinica
    Created on : 22/09/2014, 07:42:53 PM
    Author     : Practica
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html xmlns="http://www.w3.org/1999/xhtml"
      xmlns:h="http://xmlns.jcp.org/jsf/html">
        <head>
        <title>Crear Historia Clinica</title>
        <meta charset="UTF-8">
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
        <link rel="stylesheet" href="css/bootstrap.css" type="text/css">
    </head>
    <body>
        <script src="js/jquery/jquery.js"></script>
        <script src="js/bootstrap.js"></script>
        <form action="./CapturadorDatosHC" method="POST">
        <div class="container">
            <div class="navbar">
                <div class="navbar-inner">
                    <div class="container">
                        <ul class="nav nav-tabs">
                            <li><a href="index.jsp">Inicio</a></li>
                            <li><a href="Crear_Paciente.jsp">Crear Paciente</a></li>
                            <li class="active"><a href="Crear_Historia_Clinica.jsp">Crear Historia Clinica</a></li>
                            <li><a href="Consultar_Paciente.jsp">Consultar Paciente</a></li>
                            <li><a href="Consultar_Historia_Clinica.jsp">Consultar Historia Clinica</a></li>
                        </ul>
                    </div>     
                </div>    
            </div>
            <div class="hero-unit">
               
                <div class="jumbotron">
                   <h1>
                        <img src="http://www.electronicosonline.com/noticias/images/uploads/Medicinaadistancia_sandybridge_4.jpg" width="380" height="122" align="right"/>
                   </h1>                  
                </div>
                    <legend><h4>Para crear una historia clinica digite el numero de cedula del paciente</h4></legend>
                    <pre> Numero De Cedula: <input id="Cedula_Paciente" type="number" name="CedulaPaciente" value="" size="20"pre/></pre>
                    <legend><h4>Antecedentes</h4></legend>
                     <fieldset> 
                         <pre>Enfermedades: <select name="ListaEnfermedades">
                             <option>Apendicitis</option>
                             <option>Asma</option>
                             <option>Cancer</option>
                             <option>Diabetes</option>
                             <option>Hepatitis</option>
                             <option>Hipertension</option>
                             <option>Influenza</option>
                             <option>Meningitis</option>
                             <option>Otitis</option>
                             <option>Tiroides</option>
                             <option>Varicela</option>
                         </select>Otra: <input id="Otra_enfermedad" type="text" name="Otra_Enfermedad" value="" size="25" /></pre>
                         <pre>Medicamentos: <select name="ListaMedicamentos">
                             <option>Anfotericina</option>
                             <option>Amoxicilina</option>
                             <option>Buscapina </option>
                             <option>Dexametasona</option>
                             <option>enalapril s</option>
                             <option>lidocaina</option>
                             <option>naproxeno</option>
                             <option>nefazodona</option>
                             <option>paroxetina</option>
                             <option>penicilina</option>
                             <option>vitamina A </option>
                         </select>Otra: <input id="Otra_Medicamento" type="text" name="Otra_Medicamento" value="" size="25" /></pre>
                    </fieldset>
                  <legend><h4>Examen Fisico</h4></legend> 
                  <h5>Signos Vitales:</h5>
                  <pre>Presion Arterial:<input id="Precion_Arterial"type="text"name="PrecionArterial"value=""size="5"></pre>
                  <pre>Pulso:           <input id="Pulso"type="text"name="Pulso"value=""size="5"></pre>
                  <pre>Temperatura:     <input id="Temperatura"type="text"name="Temperatura"value=""size="5"></pre>
                  <pre>Respiracion:     <input id="Precion_Arterial"type="text"name="Respiracion"value=""size="5"></pre>
              <input type="SUBMIT" value="Registrar Historia clinica" id="btCrearHC" href="*" class="btn btn-primary" name="BotonCrearHC">
        </div>
        </div>
        </form>
    </body>
</html>
